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The Devil is in the Details: Applying CAUTI and CLABSI Criteria ...

The Devil is in the Details: Applying CAUTI and CLABSI Criteria ...

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Case 6<br />

• 8/14- A 41 year old female presents to <strong>the</strong><br />

Emergency Room <strong>in</strong> diabetic coma <strong>and</strong> with<br />

anemia. She has a subclavian ca<strong>the</strong>ter<br />

<strong>in</strong>serted <strong>in</strong> <strong>the</strong> Emergency Room. <strong>The</strong> next<br />

day, <strong>in</strong> <strong>the</strong> ICU, she has a midl<strong>in</strong>e central<br />

ca<strong>the</strong>ter <strong>in</strong>serted for blood transfusions. 8/21-<br />

she develops fever to 39 C, <strong>and</strong> shak<strong>in</strong>g chills.<br />

2 sets of blood cultures sent.<br />

• 8/15- blood cultures positive for Pseudomonas<br />

aerg<strong>in</strong>osa. Nei<strong>the</strong>r <strong>in</strong>sertion site shows<br />

<strong>in</strong>flammation <strong>and</strong> <strong>the</strong>re <strong>is</strong> no o<strong>the</strong>r<br />

documented <strong>in</strong>fection

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